Known Classic Congenital Adrenal in Pediatrics — Case | Pediatric Endocrinology | SMLE Q#17247
SMLE Question #17247
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
A 4-week-old boy with known classic congenital adrenal hyperplasia (21-hydroxylase deficiency) has 1 day of poor feeding, vomiting, and lethargy. He has not started glucocorticoid or mineralocorticoid therapy. He appears ill with delayed capillary refill and cool extremities. What is the most appropriate next step in management?
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